Individual provider Active NPI

Moses L James III, LPC

  • Professional Counselor
  • Edison, NJ
National Provider Identifier
1124468301
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00458300 Issued in NJ
Practice address
1036 Amboy Ave Ste 1
Edison, NJ 08837-2870
Phone
(201) 450-6744
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00458300 NJ Primary

Addresses

Primary practice location

1036 Amboy Ave Ste 1
Edison, NJ 08837-2870

Mailing address

1036 Amboy Ave Ste 1
Edison, NJ 08837-2870
Phone (201) 450-6744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00458300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gaming Approaches Toward Education CurrentSince Jun 22, 2021 Accepting new patients

Locations

1036 Amboy Ave
Ste 1
Edison, NJ 08837
Phone (201) 450-6744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1124468301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 AMBOY AVE STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372870",
            "telephone_number": "201-450-6744",
            "fax_number": "201-604-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 AMBOY AVE STE 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372870",
            "telephone_number": "201-450-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MOSES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00458300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.